Everyone on the Harborside team has an extensive background in treating eating disorders and the conditions that tend to travel alongside them, which means the person you meet with already knows how to think about the anxiety, the mood symptoms, or the family stress that is usually tangled up in the eating itself. That depth matters more than proximity. Auburn sits at the center of New Hampshire’s most populated corridor, close enough to Nashua and Merrimack that plenty of households here cross into Massachusetts for work most weeks, and close enough to Londonderry and Windham that daily life often runs across a state line without much thought. Families here are used to no state income tax and to a commute that does not respect borders. Getting care that works the same way, without a drive and without a waiting room, tends to fit how this town already lives.
Harborside is based in Yarmouth Port, Massachusetts, and delivers care by video to patients across New Hampshire. You do not need special equipment. A laptop, tablet, or smartphone with a camera and a stable internet connection is enough, and you log in from home, from a private office, or anywhere you have a quiet space and a door that closes.
An initial appointment runs longer than a follow-up, since there is more history to cover. Follow-up visits are shorter and are scheduled at an interval that fits your situation, sometimes weekly, sometimes further apart, decided between you and your clinician rather than set by a fixed protocol. If medication becomes part of your care, prescriptions are sent electronically to the pharmacy you choose in New Hampshire, the same way they would be if you had seen someone in person. What changes is the drive. Nothing about the standard of the appointment does.
Eating disorder treatment at Harborside covers a range of presentations, not a single narrow diagnosis. That includes restrictive eating patterns, binge eating, cycles of bingeing and purging, and the kind of chronic, low-grade disordered eating that never gets named out loud but shapes someone’s whole relationship with food. It also includes the conditions that frequently sit underneath or alongside disordered eating: anxiety, depression, obsessive patterns of thought, body image distress, and the aftereffects of trauma. Treating the eating alone, without attention to what is driving it, rarely holds up over time, so the clinicians here are trained to look at the whole picture rather than one symptom in isolation.
The first appointment is mostly a conversation. Your clinician will ask about your eating patterns, your history with food and your body, your physical health, and what else is going on in your life right now, including mood, sleep, relationships, and stress. There is no assumption walking in about what kind of care you need. Some people need a therapist, some need a prescriber, and many benefit from both working together. That gets sorted out collaboratively, based on what you describe and what your clinician observes, and you leave the first visit with a plan rather than a diagnosis handed to you cold.
Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also the practice’s clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions. Full bios and credentials for each of them are on the team page.
Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, and Lexie Carchedi, LCSW. Jacquelyn is also a registered art therapist, which can be a useful angle for patients who find that talking alone does not capture the full picture of how they relate to food and body image. Between the prescribers and the therapists, Auburn patients have access to a team that has spent real time with the specific difficulty of treating eating disorders well.
Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up visits are listed on the pricing page, and questions about cost are welcome before you book anything.
If you are ready to schedule, you can book directly through the website. If you are still deciding, that is a reasonable place to be, and you can call or send a message with questions about fit, scheduling, or what a first appointment covers before committing to anything. For a broader look at how this care works across the state, see the New Hampshire telehealth page and the Southern NH region page, or start from the eating disorder treatment overview. If anxiety is a bigger piece of the picture for you than food itself, the anxiety treatment page may be a better starting point.
If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside does not provide emergency or after-hours care.
This page is educational and is not medical advice. It does not create a provider-patient relationship. For guidance on eating disorder symptoms and when to seek care, see the National Eating Disorders Association [CITATION: NEDA screening and information resource, to support the plain-language description of symptoms and when to seek help].
Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.
Yes. Many clients start therapy for a difficult relationship with food or body image before, or without, a formal diagnosis.
Yes, when a client is already working with one. Coordination is discussed during intake and ongoing treatment.
No. Eating disorder therapy at Harborside is talk therapy. Medical monitoring, lab work, and meal planning are handled by outside providers and coordinated with as needed.
Clients who want medication management can be connected with one of Harborside’s psychiatric nurse practitioners.
No. Outpatient therapy isn’t appropriate for every situation. If a higher level of care is needed, your therapist will discuss that directly rather than continuing with weekly sessions alone.
Currently, eating disorder treatment at Harborside is available to clients located in Massachusetts and New Hampshire.